| NPI | 1235997065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01314) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-23-68084) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |